中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
10期
2283-2284,2293
,共3页
手术室%关节置换%感染%危险因素
手術室%關節置換%感染%危險因素
수술실%관절치환%감염%위험인소
Operating room%Arthroplasty%Infection%Risk factor
目的：探讨手术室关节置换术后感染特点及感染的危险因素，并提出预防措施，为感染的防治提供参考。方法选取2010年1月－2015年1月125例实施关节置换术患者，检测病原学特点，分析感染相关危险因素，并提出相关预防措施；采用SPSS21．0软件进行统计分析。结果125例患者中发生感染14例，感染率11．20％；共分离出病原菌22株，其中革兰阴性菌8株占36．36％，以鲍氏不动杆菌为主，革兰阳性菌14株占63．64％，以金黄色葡萄球菌为主；金黄色葡萄球菌对万古霉素、利福平耐药率较低，万古霉素耐药率为0；单因素分析结果显示，侵入性操作、手术时间≥3 h、手术室流动人员≥5人是手术室相关感染的危险因素（P＜0．05）。结论关节置换术后感染率较高，感染的影响因素较多，针对性感染的相关危险因素进行综合干预，可有效预防控制感染的发生。
目的：探討手術室關節置換術後感染特點及感染的危險因素，併提齣預防措施，為感染的防治提供參攷。方法選取2010年1月－2015年1月125例實施關節置換術患者，檢測病原學特點，分析感染相關危險因素，併提齣相關預防措施；採用SPSS21．0軟件進行統計分析。結果125例患者中髮生感染14例，感染率11．20％；共分離齣病原菌22株，其中革蘭陰性菌8株佔36．36％，以鮑氏不動桿菌為主，革蘭暘性菌14株佔63．64％，以金黃色葡萄毬菌為主；金黃色葡萄毬菌對萬古黴素、利福平耐藥率較低，萬古黴素耐藥率為0；單因素分析結果顯示，侵入性操作、手術時間≥3 h、手術室流動人員≥5人是手術室相關感染的危險因素（P＜0．05）。結論關節置換術後感染率較高，感染的影響因素較多，針對性感染的相關危險因素進行綜閤榦預，可有效預防控製感染的髮生。
목적：탐토수술실관절치환술후감염특점급감염적위험인소，병제출예방조시，위감염적방치제공삼고。방법선취2010년1월－2015년1월125례실시관절치환술환자，검측병원학특점，분석감염상관위험인소，병제출상관예방조시；채용SPSS21．0연건진행통계분석。결과125례환자중발생감염14례，감염솔11．20％；공분리출병원균22주，기중혁란음성균8주점36．36％，이포씨불동간균위주，혁란양성균14주점63．64％，이금황색포도구균위주；금황색포도구균대만고매소、리복평내약솔교저，만고매소내약솔위0；단인소분석결과현시，침입성조작、수술시간≥3 h、수술실류동인원≥5인시수술실상관감염적위험인소（P＜0．05）。결론관절치환술후감염솔교고，감염적영향인소교다，침대성감염적상관위험인소진행종합간예，가유효예방공제감염적발생。
OBJECTIVE To explore the risk factors for postoperative infections in the patients undergoing arthro‐plasty in the operating room and put forward the prevention measures so as to provide guidance for prevention of the infections .METHODS A total of 125 patients who underwent the arthroplasty from Jan 2010 to Jan 2015 were enrolled in the study ,then the etiological characteristics were observed ,the related factors for the infections were analyzed ,the corresponding prevention measures were put forward ,and the statistical analysis was performed with the use of SPSS21 .0 software .RESULTS The infections occurred in 14 of 125 patients with the infection rate of 11 .20% .Totally 22 strains of pathogens have been isolated ,including 8 (36 .36% ) strains of gram‐negative bacteria and 14 (63 .64% ) strains of gram‐positive bacteria;the Acinetobacter baumannii was dominant among the gram‐negative bacteria ,and the Staphylococcus aureus was the predominant species of the gram‐positive bacilli . The drug resistance rates of the S .aureus to vancomycin and rifampicin were low ,and the drug resistance rate to vancomycin was 0 .The results of univariate analysis indicated that the invasive operation ,operation duration no less than 3 hours ,and number of floating staff in the operating room no less than 5 were the risk factors for the operating room‐related infections (P<0 .05) .CONCLUSION The incidence of postoperative infections is high in the patients undergoing arthroplasty ,which is associated with a variety of risk factors .It is an effective way to take comprehensive interventions aiming at the related risk factors so as to control the infections .
